| NPI | 1457906497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11003490) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 29098) |
| Enumeration Date | 2019-08-06 |
| Last Update Date | 2025-07-02 |